Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.43 / $33.43 / $50.14	Facility	26	$33.43	$33.43	$50.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $69.30 / $228.00	Professional		$28.64	$69.30	$228.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.21 / $41.55 / $147.60	Professional	26	$18.21	$41.55	$147.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.02 / $20.77 / $92.56	Professional	TC	$9.02	$20.77	$92.56
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $27.35 / $27.35 / $27.35	Facility	26	$27.35	$27.35	$27.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.78 / $166.74 / $222.89	Professional		$105.78	$166.74	$222.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.07 / $85.13 / $113.79	Professional	26	$57.07	$85.13	$113.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.57 / $88.31 / $109.10	Professional	TC	$58.57	$88.31	$109.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.70 / $113.47 / $272.97	Facility	26	$72.70	$113.47	$272.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $123.75 / $202.61	Professional		$54.19	$123.75	$202.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.35 / $61.87 / $101.30	Professional	26	$29.35	$61.87	$101.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.42 / $61.87 / $101.30	Professional	TC	$23.42	$61.87	$101.30
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $63.00 / $103.55 / $214.94	Facility	26	$63.00	$103.55	$214.94
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $97.44 / $183.36	Professional		$97.44	$97.44	$183.36
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $48.72 / $48.72 / $91.68	Professional	26	$48.72	$48.72	$91.68
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $48.72 / $48.72 / $91.68	Professional	TC	$48.72	$48.72	$91.68
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $148.36 / $148.36 / $148.36	Facility	26	$148.36	$148.36	$148.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $106.23 / $273.95	Professional		$48.22	$106.23	$273.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.97 / $59.00 / $167.40	Professional	26	$26.97	$59.00	$167.40
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $15.21 / $41.14 / $179.57	Professional	TC	$15.21	$41.14	$179.57
United Facility/Professional Professional Modifier Low / Median / High Price $46.72 / $75.90 / $193.43	Professional		$46.72	$75.90	$193.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.90 / $49.06 / $96.36	Professional	26	$24.90	$49.06	$96.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.30 / $39.84 / $106.86	Professional	TC	$15.30	$39.84	$106.86